Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

NUBIA M BONILLA BONILLA R.T(R)(M)(ARRT)
NPI 1306742465
Radiologic Technologist - Mammography in Lawrence, NY

Active since October 15, 2026
625 ROCKAWAY TPKE, LAWRENCE, NY 11559(516) 798-4242 Get Directions Write a Review

NPPES record added: October 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nubia M Bonilla Bonilla R.t(r)(m)(arrt) NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NUBIA M BONILLA BONILLA R.T(R)(M)(ARRT) (NPI 1306742465) is an individual mammography provider in Lawrence, New York, licensed in New York (117714) and active in the NPI registry since October 2026. She maintains a secondary practice location in Corona.

NPPES Registry Identity

NPI1306742465
Entity TypeIndividualFemale
Primary Taxonomy2471M2300X
Provider Legal NameNUBIA M BONILLA BONILLACredential: R.T(R)(M)(ARRT)
Location Address625 ROCKAWAY TPKELawrence, NY 11559-1029
Mailing Address625 Rockaway TpkeLawrence, NY 11559-1029 · (516) 798-4242
Sole ProprietorNo
Enumeration DateOctober 15, 2026
Last NPPES UpdateOctober 19, 2026
NPPES CertifiedOctober 19, 2026
✔ NPI 1306742465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiologic Technologist · MammographyTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code2471M2300X
License✔ Licensed in NY · 117714
Definition
A radiologic technologist who specializes in mammography and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of mammogram imaging, exam techniques, equipment protocols, radiation safety, and patient care.
625 ROCKAWAY TPKE, Lawrence, NY 11559

Secondary Practice Location 1

Location 13712 108th StCorona, NY 11368-2025 · Phone (718) 651-4000

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Gerontology)
625 ROCKAWAY TPKE
LAWRENCE, NY 11559
Nurse Practitioner (Adult Health)
625 ROCKAWAY TPKE
LAWRENCE, NY 11559
Nurse Practitioner (Family)
625 ROCKAWAY TPKE
LAWRENCE, NY 11559

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nubia Bonilla Bonilla's NPI number?

The NPI number for Nubia Bonilla Bonilla is 1306742465. It was assigned to this individual provider in the NPPES registry on October 15, 2026.

Where is Nubia Bonilla Bonilla located?

Nubia Bonilla Bonilla practices at 625 Rockaway Tpke, Lawrence, NY 11559. The listed phone number is (516) 798-4242.

What is Nubia Bonilla Bonilla's specialty?

The primary specialty registered for this NPI is Radiologic Technologist, specializing in Mammography, with taxonomy code 2471M2300X.

When was this NPI record last updated?

The NPPES record for Nubia Bonilla Bonilla was last updated on October 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.